After your procedure or treatment, Dr. Garry Lunn strongly recommends following his post-op instructions. Should you have any further questions or concerns not answered by these instructions or found on our frequently asked questions page, please don’t hesitate to contact us. Our office is open, Monday to Friday 8:00am to 5:00pm, Saturday 9:00am to 2:00pm and closed on Sunday and Holidays. Quality dental care and client service are our priority.

Crown & Bridge Instructions

We take care to ensure the least amount of discomfort after your initial treatment. Additional steps may be taken by yourself once you leave the office.

  1. Use a warm salt water rinse frequently for 2-3 days following the procedure. (1 tablespoon salt in half a glass of warm water).
  2. Take a pain killer, such as one you would use for a headache, BEFORE the freezing completely disappears. Take one more prior to bedtime. Continue every 6 hours as needed.
  3. Continue to keep the area free of bacteria by carefully brushing and flossing. PULL THE FLOSS OUT SIDEWAYS to prevent dislodging the temporary.
  4. Avoid extremes of hot or cold temperatures on the side treated.
  5. Avoid chewy or sticky foods on the temporary.
  6. Should the temporary come off, replace on the tooth if possible with a little Vaseline inside the temporary, and call the office.
Post Surgery

Pain Management
Pain medication will be prescribed as needed depending on the extent of your procedure. If you are given a prescription please follow the instructions as indicated. Alternatively you can alternate 400mg of Advil and 500mg of Tylenol every 2 hours for pain as needed (assuming you have no allergies to these medications). It is recommended that you take some pain medication before the freezing comes out for pain management. If your procedure is surgical in nature you will be provided prescription medications as needed.

Bleeding
There may be some oozing and red colored saliva for the first 24 hours. Should bleeding occur, slightly moisten the additional gauze given and bite on the moist gauze for 20 minutes. If you are concerned about bleeding please contact Dr. Fonseca or report to the nearest hospital.

Swelling
Applying ice to the outside of the surgical area will help keep swelling to a minimum. Apply ice to the area for 15 minutes on and 15 minutes off.

Eating
Do not eat or drink until the freezing has worn off and begin with a soft diet. Soft foods will help prevent trauma to the area. Do not rinse your mouth, spit or drink through a straw for the first 24 hours. After 24 hours, rinse with warm salt water for 7 days to enhance healing.

Avoid alcohol and tobacco products for at least 24 hours. Extreme post-op pain may occur if you use tobacco and a delay in healing can be expected.

The majority of tissue healing will occur within 7 days. Within 3 weeks the tissue should be healing over. In 3-6 months the bone will fill in the surgical site.

In case of emergency, please contact Dr. Fonseca/Dr. Gustafson at 604-738-7710 or report to your nearest hospital.

Gum Surgery
  1. When the freezing wears off, you may have some discomfort. Before this happens take the medication indicated. Advil or Ibuprofen 400mg three times a day for 2 days.
  2. Please limit yourself to a semi-solid diet and avoid spicy or excessively hot foods for the first day. Avoid eating on the surgical site.
  3. Do not be concerned if the sutures placed fall out prior to the post-op appointment in one week’s time.
  4. Rinse with the medication supplied. We do not recommend the use of commercial mouth rinses. Warm salt water rinses are helpful after the first day to promote healing. Cold compresses on the outside of the face will decrease any swelling that may occur. Use your tooth brush in all areas except the surgical site.
  5. You may follow your regular daily activities. Avoid excessive exertion of any type. Avoid athletics and long exposure to the sun for the first three days after the operation. Also..no swimming.
  6. There may be occasional blood in the saliva for the first while after the operation. If there is considerable bleeding, place a piece of gauze formed into the shape of a “U” by holding it between the thumb and index finger. Apply it to both sides of the surgical area and maintain gentle pressure for 10 minutes. Do not remove it during the period to examine it. If bleeding persists, call our office.
Root Canal Therapy (Endodontic Treatment)

The tooth and its surrounding gum tissue may be somewhat tender for a few days after treatment. If necessary, take a pain killer or anti-inflammatory every 4-6 hours and bathe the tooth with warm salt water. A temporary filling has been placed untill your next appointment and portions of it may come away from the tooth. Not to worry. It will not completely come out and the tooth is okay for the time being. As the tooth may be tender to chew on, use caution when chewing but continue to keep the area clean with brushing and flossing. In the unlikely event that the pain should become severe or swelling develops, please call our office.

Suggestions to Minimize Bruising Prior to your Botox® Injection

We will use a tiny needle. Although every effort is undertaken to reduce the chance of bruising, it is possible to receive a bruise from the injection. By following these instructions, you will reduce your chance of bruising.

  1. Avoid aspirin (ASA) and vitamin E for 7 days prior to your appointment. ASA thins the blood. Vitamin E also can result in more bruising.
  2. Avoid Ibuprofen (Advil, Motrin), anti-inflammatory dugs (ex. Aleve, naproxin) for 3 days prior to your appointment. Tylenol (acetaminophen) is fine, and does not increase bruising.
  3. Avoid herbal medications like ginko biloba for 3 days prior to your appointment.
  4. Avoid alcohol for 24 hours prior to your appointment.
  5. Eat 2 Kiwi fruit per day for 2 days prior and after your appointment. Kiwi contains bromelain, which helps reduce bruising.
  6. If you are on blood thinners, or have any bruising problems, please notify us prior your treatment.
  7. Bruising can usually be covered with make-up.
  8. Avoid scheduling appointments prior important social engagements.
Nightguard

Your nightguard is a means of protecting and preserving your teeth, gums and jaw joints. At night, it is common for clenching and/or grinding to occur, resulting in wear and tear of the teeth, bone and jaw joint. This is because at night the protective reflexes against clenching and grinding are “asleep”, causing your teeth or muscles to feel sore, sensitive or tired in the morning.

Your nightguard will not stop you from clenching or grinding, but it will manage the habit and protect the jaw system. It will not change your bite or alter the position of your teeth.

Each individual takes a different amount of time to get used to the appliance, so that they may wear it throughout the night. Be patient. Wear it while you are awake. Get used to it before trying to sleep with the appliance. Increase the amount of time you wear it until you feel you can sleep with the appliance in the mouth.

When putting your nightguard into place use both hands; don’t bite it into place. Initially the appliance may feel snug or tight and be putting uneven pressure on the teeth. The feeling will go away in approximately 10 to 15 minutes as the teeth fit into the appliance. Also when you take it out in the morning the teeth may not feel they fit together properly. Once again in a few minutes the teeth will get use to being in contact together.

Keep the appliance clean with toothpaste and always store it in the container provided. (Please keep the appliance away from pets). The plastic will discolour over time and will wear out depending on how much clenching and grinding occurs.

If you are having difficulty wearing the appliance or have concerns or questions please call us. It is wise to bring it with you to your recall appointments. There is a fee for adjusting your appliance.

Whitening

Place a thin line of material in the bleaching tray. Use the tray and material overnight, for two weeks then rinse and clean the internal of the tray. Rinse and brush your teeth to remove excess gel.

You can alternate days if you have sensitivity or use MI paste in the tray after beaching. It is normal to see dark colors in trays where you have amalgam (silver) fillings. Final shade will be achieved about 2 weeks after completion of your whitening treatment.

Do not eat or drink with trays in the mouth. Wipe off excess bleach with a cotton swab or a dry toothbrush if any gets on the gums. Avoid smoking, stained foods, colored drinks and coffee for at least 30 minutes after bleaching sessions.

Continue good oral hygiene, use of an electric toothbrush will help keep results longer.

Laser Treatment
  1. Do Not Brush or Floss area for 24 hours. Resume normal cleaning once area is comfortable.
  2. Use a warm salt water rinse daily for a week.
  3. Use the mouthwash given once a day for 2 weeks.
  4. For pain control, 400mg. of Advil plus extra strength Tylenol.